One of my friends, every night after falling asleep, his mouth would make a creaking sound after chewing something. This teeth grinding condition would continue until he woke up, and he didn't even know that he had this reaction after falling asleep.
Option 1: soft night-guard
Option 2: Botox injection into masseteric muscles.
per your friend's history, it's called sleep bruxism.
The option of treatment is night guard (flat plane splint/ or Michigan splint). Botox can help but may need to re-inject every 6-8 months depending on patient's response.
bruxism is highly linked to mouth breathing... send your friend to a maxillofacial surgeon to check facial architecture
First diagnosis of the etiology and it's treatment and simultaneous use of night guard is the best option to prevent damage to teeth.
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